Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

• Review this week’s media presentation on the gastrointestinal system.
• Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
• Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
• Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper

4 References no later than 5years

Zero Plagiarism

 de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787 

Develop a step-by-step flowchart diagram with shapes and arrows depicting the legislative process. The diagram will be used to monitor your proposed health care bill’s progress through the legislative process.

 My propose health care bill:  ( Prescription Drug Abuse Bill proposal)

State: florida

Consider the following as you develop your plan:

How will you ensure the bill is assigned to the appropriate committee, agency, or department?

How will you ensure the appropriate rules are written for the bill?

Comment 1

Scientism may be described as the belief that science is a mean of acknowledging reality and a philosophical thesis which concentrates on facts. Spirituality and religion belief in science but embraces God’s creation ideas. The tension between religion and science falls on the fact that science does not explain everything absolutely. This provides religion an opportunity to fill the gap concerning the ethics and morals (Grove, 2015). A human being is usually terrified of unknown. People want to have an absolute explanation of everything. So both religion and science are important since they offer similar and different explanations people desires. Both acts like a complement of the other one.

Combination of both religion and scientism is ideal in healthcare. Scientism may explain physical technicalities of illness and with evidence based on medication. However, religion plays its role for the patient in case science fails to explain their feeling. For instance, when a patient is hospitalized, they feel hopelessness, and scientifically there is no such explanation. No medication that exists that can make the feeling of hopelessness to disappear. But, patient prayers can help eliminate the feeling of hopelessness (Kanopy, 2014). The fact is that the patient will not get healed since prayer alone may not cure the patient in case there is no absolute factual, scientific probability.

Comment 2

From our assigned readings, one of the topics I found very interesting was the distinction made between medicine and nursing as two separate entities. Medicine focuses on scientific dimensions of the human body; nursing is caring with emphasis on the whole person as embodied (Shelly & Miller, 2006). I think this distinction is important because while medicine is generally based in science and explains the body as an object of function, nursing focuses on the person as a whole and examines and aids the individual’s function through their body. In other words, nursing doesn’t only fixate on the diagnosis or curing of disease or on the progression of healing. Nursing compassionately encompasses the person as a whole to help assist their performance in activities contributing to their individualized health and recovery status. Nursing doesn’t just relate to diagnostic tests and lab values, it takes into consideration a person’s support system, their coping mechanisms, their need for resources, their teaching needs, their cultural and religious backgrounds, etc. This is why nursing is often referred to as both ‘a science and an art’. The application of both scientific medical knowledge and empathetic, compassionate care at the most basic level is what makes nursing a unique profession.

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review the Work Environment Assessment Template.
• Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
• Select and review one or more of the following articles found in the Resources:
  • Clark, Olender, Cardoni, and Kenski (2011)
  • Clark (2018)
  • Clark (2015)
  • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

• Review the Work Environment Assessment Template you completed for this Module’s Discussion.
• Describe the results of the Work Environment Assessment you completed on your workplace.
• Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
• Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

• Briefly describe the theory or concept presented in the article(s) you selected.
• Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
• Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

• Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
• Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Get Local: Rate Your Environment

Based on the material in this module and your own relevant research, address the following:

• How would you rate your own neighborhood and the city or town that surrounds it with regard to the concepts presented in this module?
• Discuss as many environmental factors that affect wellness (mining communities, contamination, nuclear poisoning, population density, socioeconomic influences, new vs. old developments, community gardens, etc.) as possible in your analysis and highlight how these factors support or challenge wellness.
• How do these factors relate to the eight dimensions of wellness?

Make sure you support your ideas with information presented in the course material, other scholarly resources, and specific examples (real-life observations and experiences),

Needs to be APA format and 300 words.